Evidence map›Paper›PMID 37565017›Full record

ReviewJournal of pediatric intensive care2023

Perioperative Management of Pediatric Patients with Moyamoya Arteriopathy.

Sarah E Gardner Yelton, Monica A Williams, Mollie Young, Jennifer Fields, Monica S Pearl, James F Casella, Courtney E Lawrence, Ryan J Felling, Eric M Jackson, Courtney Robertson and 4 more

Open access · greenAbstract readReview
In one paragraph

Review in Journal of pediatric intensive care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Relative anemia and perioperative stroke in children with moyamoya.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2024
    Article
  5. Article
  6. Review
  7. Same-day versus staged revascularization of bilateral moyamoya arteriopathy in pediatric patients.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Article
  8. Advances in the Diagnosis and Treatment of Pediatric Arterial Ischemic Stroke.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Review
  9. Practice variability in the perioperative management of pediatric moyamoya disease in North America.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2023
    Article
  10. The neurosurgical management of Severe Hemophilia A and Moyamoya (SHAM): challenges, strategies, and literature review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Sarah E Gardner YeltonDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, United States.ORCID 0000-0003-0148-0141
Monica A WilliamsDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, United States.
Mollie YoungChild Life Department, Johns Hopkins Hospital, Baltimore, Maryland, United States.
Jennifer FieldsDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, United States.ORCID 0000-0003-3751-3582
Monica S PearlDepartment of Radiology, Children's National Hospital, Washington, District of Columbia, United States.ORCID 0000-0001-9514-8902
James F CasellaDepartment of Pediatrics, Division of Hematology, Johns Hopkins School of Medicine, Baltimore, Maryland, United States.
Courtney E LawrenceDepartment of Pediatrics, Division of Hematology, Johns Hopkins School of Medicine, Baltimore, Maryland, United States.ORCID 0000-0002-0456-1070
Ryan J FellingDepartment of Neurology, Division of Pediatric Neurology, Johns Hopkins School of Medicine, Baltimore, Maryland, United States.ORCID 0000-0002-0845-9356
Eric M JacksonDepartment of Neurosurgery, Division of Pediatric Neurosurgery, Johns Hopkins School of Medicine, Baltimore, Maryland, United States.ORCID 0000-0001-9306-9290
Courtney RobertsonDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, United States.
Susanna ScafidiDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, United States.ORCID 0000-0002-1229-8778
Jennifer K LeeDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, United States.ORCID 0000-0001-9578-4482
Alan R CohenDepartment of Neurosurgery, Division of Pediatric Neurosurgery, Johns Hopkins School of Medicine, Baltimore, Maryland, United States.
Lisa R SunDepartment of Neurology, Division of Pediatric Neurology, Johns Hopkins School of Medicine, Baltimore, Maryland, United States.ORCID 0000-0003-4948-0415
Johns Hopkins University · USChildren's National · USJohns Hopkins Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pediatric patients with moyamoya arteriopathy are at high risk for developing new onset transient or permanent neurologic deficits secondary to cerebral hypoperfusion, particularly in the perioperative period. It is therefore essential to carefully manage these patients in a multidisciplinary, coordinated effort to reduce the risk of new permanent neurologic deficits. However, little has been published on perioperative management of pediatric patients with moyamoya, particularly in the early postoperative period during intensive care unit admission. Our pediatric neurocritical care team sought to create a multidisciplinary periprocedural evidence- and consensus-based care pathway for high-risk pediatric patients with moyamoya arteriopathy undergoing anesthesia for any reason to decrease the incidence of periprocedural stroke or transient ischemic attack (TIA). We reviewed the literature to identify risk factors associated with perioperative stroke or TIA among patients with moyamoya and to gather data supporting specific perioperative management strategies. A multidisciplinary team from pediatric anesthesia, neurocritical care, nursing, child life, neurosurgery, interventional neuroradiology, neurology, and hematology created a care pathway for children with moyamoya undergoing anesthesia, classifying them as either high or standard risk, and applying an individualized perioperative management plan to high-risk patients. The incidence of neurologic sequelae before and after pathway implementation will be compared in future studies.

Indexed as

moyamoyapediatricsperioperativestroke

Identifiers

PMID37565017
PMCPMC10411150
OpenAlexW3188173684

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.